Active NPI
Elizabeth Mary Depaul, D.D.S.
- Student in an Organized Health Care Education/Training Program
- Lyndhurst, OH
National Provider Identifier
1194251157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 30.025033
- Practice address
- 4935 Mayfield Rd
Lyndhurst, OH 44124-2521 - Phone
- (216) 308-9300
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 30.025033 | OH | Primary |
Addresses
Primary practice location
4935 Mayfield Rd
Lyndhurst, OH 44124-2521
Mailing address
4935 Mayfield Rd
Lyndhurst, OH 44124-2521
Phone (216) 308-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025033 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1194251157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4935 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242521",
"telephone_number": "216-308-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242521",
"telephone_number": "216-308-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAUL",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "30.025033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.